Restorative Dentistry: Dental composite depth of cure with halogen and blue light emitting diode technology

Objectives To test the hypothesis that a blue light emitting diode (LED) light curing unit (LCU) can produce an equal dental composite depth of cure to a halogen LCU adjusted to give an irradiance of 300 mWcm–2 and to characterise the LCU's light outputs. Materials and methods Depth of cure for three popular composites was determined using a penetrometer. The Student's t test was used to analyse the depth of cure results. A power meter and a spectrometer measured the light output. Results The spectral distribution of the LCUs differed strongly. The irradiance for the LED and halogen LCUs were 290 mWcm–2 and 455 mWcm–2, when calculated from the scientific power meter measurements. The LED LCU cured all three dental composites to a significantly greater (P < 0.05) depth than the halogen LCU. Conclusions An LED LCU with an irradiance 64% of a halogen LCU achieved a significantly greater depth of cure. The LCU's spectral distribution of emitted light should be considered in addition to irradiance as a performance indicator. LED LCUs may have a potential for use in dental practice because their performance does not significantly reduce with time as do conventional halogen LCUs

In silico estimates of the free energy rates in growing tumor spheroids

The physics of solid tumor growth can be considered at three distinct size scales: the tumor scale, the cell-extracellular matrix (ECM) scale and the sub-cellular scale. In this paper we consider the tumor scale in the interest of eventually developing a system-level understanding of the progression of cancer. At this scale, cell populations and chemical species are best treated as concentration fields that vary with time and space. The cells have chemo-mechanical interactions with each other and with the ECM, consume glucose and oxygen that are transported through the tumor, and create chemical byproducts. We present a continuum mathematical model for the biochemical dynamics and mechanics that govern tumor growth. The biochemical dynamics and mechanics also engender free energy changes that serve as universal measures for comparison of these processes. Within our mathematical framework we therefore consider the free energy inequality, which arises from the first and second laws of thermodynamics. With the model we compute preliminary estimates of the free energy rates of a growing tumor in its pre-vascular stage by using currently available data from single cells and multicellular tumor spheroids.Comment: 27 pages with 5 figures and 2 tables. Figures and tables appear at the end of the pape

Radio Observations of the Supernova Remnant Candidate G312.5-3.0

The radio images from the Parkes-MIT-NRAO (PMN) Southern Sky Survey at 4850 MHz have revealed a number of previously unknown radio sources. One such source, G312.5-3.0 (PMN J1421-6415), has been observed using the multi-frequency capabilities of the Australia Telescope Compact Array (ATCA) at frequencies of 1380 MHz and 2378 MHz. Further observations of the source were made using the Molonglo Observatory Synthesis Telescope (MOST) at a frequency of 843 MHz. The source has an angular size of 18 arcmin and has a distinct shell structure. We present the reduced multi-frequency observations of this source and provide a brief argument for its possible identification as a supernova remnant.Comment: 5 pages, 5 figures, Accepted for publication in MNRA

Assessing the link between implementation fidelity and health outcomes for a trial of intensive case management by community health workers: a mixed methods study protocol

Background: Better systems of care are required to address chronic disease in Indigenous people to ensure they can access all their care needs. Health research has produced evidence about effective models of care and chronic disease strategies to address Indigenous health, however the transfer of research findings into routine clinical practice has proven challenging. Complex interventions, such as those related to chronic disease, have many components that are often poorly implemented and hence rarely achieve implementation fidelity. Implementation fidelity is "the degree to which programs are implemented as intended by the program developer". Knowing if an intervention was implemented as planned is fundamental to knowing what has contributed to the success of an intervention. Methods: The aim of this study is to adapt the implementation fidelity framework developed by Keith et al. and apply it to the intervention implemented in phase 1 of the Getting Better at Chronic Care in North Queensland study. The objectives are to quantify the level of implementation fidelity achieved during phase 1 of the study, measure the association between implementation fidelity and health outcomes and to explore the features of the primary health care system that contributed to improved health outcomes. A convergent parallel mixed methods study design will be used to develop a process for assessing implementation fidelity. Information collected via a questionnaire and routine data generated during phase 1 of the study will be used to explain the context for the intervention in each site and develop an implementation fidelity score for each component of the intervention. A weighting will be applied to each component of the intervention to calculate the overall implementation score for each participating community. Statistical analysis will assess the level of association between implementation fidelity scores and health outcomes. Discussion: Health services research seeks to find solutions to social and technical problems to improve health outcomes. The development of a tool and methodology for assessing implementation fidelity in the Indigenous primary health care context will help address some of the barriers to the translation of research into practice.Barbara Schmidt, Kerrianne Watt, Robyn McDermott and Jane Mill

Exposure to violence and PTSD symptoms among Somali women

Posttraumatic stress disorder (PTSD) symptoms, exposure to traumatic stressors, and health care utilization were examined in 84 women attending a primary health care clinic in Mogadishu, Somalia. The Somalia-Posttraumatic Diagnostic Scale was used in this active warzone to measure symptoms. Nearly all women reported high levels of confrontations with violence; half described being exposed to a potentially traumatizing event. Nearly one third had significant PTSD symptoms. Compared to those who did not, women who reported exposure to a traumatic stressor reported more confrontations with violence (7.1 vs. 3.3; p < . 001), health complaints (3.8 vs. 2.9; p = .03), and nearly 3 times as much (p = .03) health service utilization. A potentially traumatizing event was found to be a simplified proxy for assessing mental health distress in women attending a primary health care facility in highly insecure, unpredictable, resource-limited settings

Field testing of World Health Organization (WHO) 2003 recommendations for initiating anti-retroviral therapy (ART) where CD4 is not available revealed low sensitivity among stage I and II patients; a combination of Automated Total Lymphocyte Count (TLC) and Haemoglobin (Hgb) can ration the referral for CD4 testing.

2006 AIDS Conference, Toront

Retrospective Barrier Placements for a Skunk Rabies Epizootic in NW Wyoming

Striped skunks (Mephitis mephitis) are the most important reservoir of rabies on the Great Plains. In August, 1988 a skunk rabies epizootic proceeded from the index case west of Cowley, WY. By 1991, epizootic had reached nearly all areas in the Shoshone River Basin (SRB), and it ended in 1993. This area and the remainder of the SRB had been previously considered rabies-free. The USDA\u27s Wildlife Services (WS) cooperated with state and local officials in a rabies monitoring and control program starting in 1990. Using information from the literature, signs, tracks, and radio-telemetry of normal and rabid skunks, WS decided to trap mainly riparian and irrigated agricultural habitats in the valley\u27s floor. Here, a mosaic of irrigation ditches (e.g., Buffalo Bill Cody\u27s circa 1908) was shown to be travel corridors for skunks. Trapped species (\u3e1,000 skunks) were sent to the Wyoming State Veterinary Laboratory for rabies testing using immuno-fluorescent of brain tissues. The study area extended from the Bighorn Canyon and Lake on the east up river to Buffalo Bill Reservoir on the west. The study area and subsequent epizootic encompassed a portion of the Shoshone River ~90 km in length and an area of ~ 85,000 ha (54 mi2). Traditional surveillance data composed \u3c10% of the sample -public referrals of suspiciously acting wildlife and road kills. We analyzed 215 rabid skunk locations and dates together with GIS hydrology and land use information. Hypothetical barriers were modeled using potential synergisms formed among restricted habitat, depopulation, and vaccine (if one had been available), combined with the natural epizootiology of this rabies strain with high virulence. Two dates for barrier locations were identified that may have halted the spreading epizootic: 1) before April 1989, when the rabies epizootic might have been limited to Polecat and Sage Creeks, and 2) June 1989, when the epizootic may have been stopped before it entered the majority of SRB including the larger population centers of Byron, Powell, and Cody